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Test Bank For Nurse Practitioner Certification Exam Prep 6th Edition by Margaret A

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Test Bank For Nurse Practitioner Certification Exam Prep 6th Edition by Margaret A

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Test Bank For Nurse Practitioner Certification Exam
Prep 6th Edition by Margaret A. Fitzgerald
9780803677128 Chapter 1-19 Complete Guide.


primary lesion - ANSWER lesion that develops on previously unaltered skin

lesion - ANSWER a region in an organ or tissue that has suffered damage thru
injury or disease

secondary lesion - ANSWER lesion that either changes impression over time or
occurs when a primary lesion is scratched it may be infected

macule - ANSWER circumscribed flat area; different color and texture from
surrounding tissue, <1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)

patch - ANSWER a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot

papule - ANSWER Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)

plaque - ANSWER elevation of skin; >1cm; example psoriasis lesion

pustule - ANSWER a visible accumulation of purulent fluid under skin; <1cm;
examples acne and impetigo

vesicle - ANSWER a circumscribed elevation of skin contains "SEROUS FLUID:
<1cm; examples, herpes simples, varicella, shingles

nodule - ANSWER solid mass of skin, is elevated or palpated >1cm; often extends
deeper into dermis: examples xanthoma and fibroma

bulla - ANSWER blister, circumscribed elevation containing fluid >1cm , extends
only into epidermis, examples burns, superficial blister, contact dermatitis

wheal - ANSWER elevated white or pink compressible papule or plaque, a red,
axon-mediated flare often surround it, commonly associated with allergic reaction,
examples PPD test and mosquito bites

cyst - ANSWER any closed cavity or sac; contains fluid or semisolid material,
normal or abnormal epithelium. example sebaceous cyst

Abscess - ANSWER a localized collection of purulent fluid in a cavity formed by
disintegration or necrosis of tissues >1cm

, tumor - ANSWER "MASS: > few cm in diameter; firm or soft; benign or malignant

configuration: annular - ANSWER circular, begins in center and spreads to
periphery

configuration: confluent - ANSWER lesions run together

configuration: grouped - ANSWER lesion cluster

configuration: gyrate - ANSWER twisted, coiled, spiral and snake like

configuration: linear - ANSWER scratch, streak, line stripe

configuration: polycyclic - ANSWER annular lesions merge

configuration: solitary or discrete - ANSWER individual and distinct lesions that
remain separate

configuration: target (iris) - ANSWER resembles iris of eye; lesion with concentric
rings of color

configuration: zosteriform - ANSWER linear arrangement along nerve route

comedones - ANSWER open are called black heads (openings capped with a
blackened skin debris); and closed are called white head (obstructed)

acne - ANSWER can be comedones, pustules, papules (pimples and zits), cysts,
nodules and scaring

nonpharmacological management of acne - ANSWER wash several times daily
with soap and water; avoid topical oil based; use oil free cleansers and moisterizers

pharmacological management of acne - ANSWER comedolytic agents: benzoyl
peroxice, salicylic acid, topical antibiotics (clindamycin, erythromycin, tetracycline
and metronidazole for rosacea). May consider oral antibiotics and oral
contraceptives

folliculitis - ANSWER inflammation of hair follicle; common cause staphylococci

furuncle - ANSWER "boil" localized infection in hair follicle, caused by staph

carbuncle - ANSWER >furuncle; may be necrotizing, staph

cellulitis - ANSWER most common causes: out patients strep ; inpatient: gram
negative (ecoli, klebsiels, psuedomonsa, enterbacter, staph aureus and strep

MRSA - ANSWER trimethoprm-sulfamethoxazole (bactrim); doxy, clindamycin

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